PAP PROJECT TEAM

July 26, 2005 meeting   Taken by  Gay Lynn Richards

In attendance:  Gay Lynn Richards, Marva Bohen, Mary Winnett, Janet Yee, Liz Moe, Shelly Madigan, Roshon Paudel, Betty Sanders, Claire Wegel, Joan Regal, Benita Robinson, Patricia Ruiz de Somocurcio

Agenda Item	Key Points Raised in Discussion	Decision/Action
1.      Introductions
2.      Updates         - New Legislation                                   - Somali Survey conducted by Minnesota      International Health Volunteers and Project         LEAD         - Incidence/New Data             - New Data       3.      Cancer Plan MN                                           4.      Our Vision 5.      Group Consensus on Project/Assignments                                             6. NEXT MEETING	·  New legislation introduced by Senator Solon   to eliminate cervical cancer and increase Pap rates.   ·  Mary W. feels multiple factors influence Pap use.    No one intervention may succeed everywhere.    No funding attached to bill.   ·  Carin Perkins has applied for a grant to look retrospectively at cases of women with cervical cancer—what barriers may have interfered with receiving cervical services so cancer developed.   ·  Need for health information, for interpreters, and cervical materials, ˜ 50% report having a Pap.   ·  Understand difference between rate which is number per/100,000 and total with disease.    Mortality rate higher in      > 65+    ·  Mortality data (U.S.)    - Rate highest in women who are oldest.    - 10.2/100,000 in 85+ - all races.   ·  Two strategies identified: 1.      Advocate free, low cost screening resources <40. 2.      May be a policy issue or information issue.            Anyone interested in liaison to group developing centralized “Portal” for info could contact Angie Graf @ ACS.          Centralized Info Portal – Should we liaison to group so Pap resources listed?          ACS worked with Iowa Cancer Plan—did information Portal county-by-county.           ·  Advocacy Policy change   ·  Possible changes in MABC restrictions?  Would allow for expansion of treatment resources for eligible women.       ·  Pilot    Somali and A-A    Pilot/Friend to Friend/Materials     ·  Adapting Friend to Friend to cervical.   ·  Education materials   ·  Forum in January, and press conference elements.   ·  Lay health workers   ·  Provider outreach         ·  National organizations:    - Campaigns, materials, funding opportunities,      partnerships.   Tuesday, August 30: 10:30 to 12pm Minnesota Room, Snelling Office Park	MDH directed to develop a Plan.  Mary Winnet and Jon Slater to lead on this.  Report due in January 2006.             Will give good information about why women may have not gotten screened.                 Rate and numbers, highest ages 35 – 49. Rate also jumps in older women. Interesting question on jump in rate > 65 not getting screened in their 50’s. Rate appears higher, both incidence/death in black females.     Family Planning: Clinics have FPSP $$ and by  2007 Medicaid waiver will cover Pap cost– so some resources are available.  Title X also.  FPSP – no dollars for doctor and treatment. Sage <40 Colp: $400,000 – $500,000  current state $$ funding. Also sliding fee community clinics and the St. Mary’s Program. ACS has a very large database, ACS Community Resource Database, and has collected information in MN and wants to make it more accessible and also be thoughtful about literacy level.  Contact Angie Graf@cancer.org.  Route Anna/Medica.   ACS taking a lead on this.   Legislative activity       See attached.   Marva – lead Roshan, Benita, Betty, Shelly, Gay, Mary, Janet Will draft out intervention elements at the next meeting.   Roshan, Gay, Benita   Pat R. and others   ACS and UofM, Janet Yee and Sara Hower, Marva, Roshan   Bring to navigator group.   Mary W. and Shelly Maybe start by talking with providers who serve communities.  Pilot (Somali and African-American)   Claire W.